Permit Shed 84 Lewis 2011 4 r, r1
1 f
�, t`` y CITY OF ATLANTIC BEACH
== '�� 800 SEMINOLE ROAD
`" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001654
Property Address Date 2/22/11
84 LEWIS ST
Application type description SHED PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 2870
Application desc
SHED FOR CHURCH SUPPLIES
Owner Contractor
NEW COMMUNITY BAPTIST CHURCH LOREN DEVELOPMENT INC
84 LEWIS 850390 HWY 17
ATLANTIC BEACH FL 32233 YULEE
FL 32097
Permit BUILDING PERMIT
Additional desc . SHED
Permit Fee . . . 65.00 Plan Check Fee .
Issue Date .00
Valuation 2870
Expiration Date . . 8/21/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.00 69.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
�S" Y APPLICATION NUMBER
n, Building Department
800 Sem Road (To be ass by the Bu Department.)
�
� Atlantic Beach, Florida 32233-5445
" Phone (904) 247 -5826 • Fax (904) 247 -5845 J `
" .. r it E -mail: building- dept @coab.us Date routed: g /
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: g'i-/ Lwi3 ST De.. • uired Yes nt review required /' No
- ' Ldinq
Applicant: / 4 rc n - 13 1 k . V L ,�, f i -rr , P _ nnin..& Zonir
L � `I Tree Administrator
Project: cell b F 4 £ //G(reh r Jf ! f� Public Works
Beviemffee, , , , ,„, , , / 1 --- v%
Other Agency Review or Permit Regi i
Florida Dept. of Environmental Protection ' i L / /
Florida Dept. of Transportation `�
St. Johns River Water Management District 0 V
Army Corps of Engineers , (,, 0
(-/ 6 (.)
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
l
APPLICATI(
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNI : ZONING ``�� (�
Reviewed by: Date: C7 -� 1�"
TREE ADMIN. Second Review: []Approved as revised. ❑ Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
k
Y s!.:ul, , City of Atlantic Beach APPLICATION NUMBER
c" I„ Building Department (To be assigned by the Building Department.)
A 800 Seminole Road
. ; Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 Fax (904) 247 -5845
x st E -mail: building- dept @coab.us Date routed: " 2 /1
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
•operty Address: ; ' 4 Lfccwi.- S7 Departmept review required Yes No
l ling
pplicant: p m f /1 1 Pinnin & Zoni
/' Tree Administrator
rojec f ' fl D G 6 - f�Zt���7 —(A / I f Public Works
�� Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature . .,:
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS S
keviewing Department First Review: []Approved. De ' d.
(Circle one.) Comments:
BUILDING , - s
NG & Ze I ING Reviewed by: S� -
Date: 2 9 //
TREE ADMIN. Second Review:
❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ODenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
�
address: r f. 06 4d"
Permit Number:
l Description Parcel #
m o Floor Area of Sq.Ft. Sq.Ft
ation of Work $ f ' 9 27 --- Proposed Work heated/cooled non - heated/cooled 9- 0
of Work (circle one): .. ' Addition Alteration Repair Move Demolition pool/spa window /door
f existing /proposed structures) (circle one): • �mmer .iaP Residential
installed? structure, is a fire sprinkler system stalled? (Circle one): Yes No N /A
la Product Approval # L.
nultiple products use product approval form 2,f,1 ,
ribe in detail the type of work to be performed: ...- f i i" b C' ' (/ _ ftt I e N zi pp/ r _
, erty Owner Information:
Gt r , /
e; Address:
i
State Zip Phone .. y1 •
ail or Fax # (Optional) 4.....
tractor Information:
parry N�a Lcrer e to # _A+ 14,t Qualifying Agent: LiOfP. 1�'�%t
(c M c--eo oC
Vf
ress: 'SO 39 O 7 City v v tee State _ Zip 2ci 9 i
:,e Phone • 0 v S Job Site/ Contact Number C c j 1 S°i 6 Y6` ax # 2.-2-S' fl 33 y
Certificatio' • egislration # C. GC / 'TO 1 S 7 (o
iitect Name & Phone #
ineer's Name & Phone #
Simple Title Holder Name and Address
ding Company Name and Address
tgage Lender Name and Address
ication is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
once o, f a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null months at any time after
cu ss ommen ed not I commenced tat six permits separate be s cured for Elec�calWork Plumbing Sim, a Wells, Pools, six Furnaces, Boilers, Heaters,
ks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
- 2OMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR ENDER OR AN YOIJ BE TO OBTAIN ORE RECORDING YOUR NO IC H
E OF
YOUR LENDER
reby cern; fy that I have read and examined this placation and know the same to be true and correct. All provisions of laws and ordinances governing thi
of work will be complied with whether spec herein or not. The granting of a permit does not presume to gave authority to violate or cancel th
visions of any other federal, state, or local law gulating construction or the performance of construction.
a>
mature of Owner (,Clay.. Signature of Contractor
at Name Print Name ... 4) (e,,, ,A `o r c mc-Lto A
vo . o and . • 'scrip - . y- ore me Swora,to and subscribe. before me 20
is %ay • : -r . ..�.�t.......��i' 0 this Day of 1 - 1
f �,� igr— e% # DD 957160 I � .+ . Af allt . - . 1 -
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el-
y ��, City of Atlantic Beach
e � Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
"� ' M� Atlantic Beach, Florida 32233 -5445 1/ --76
Phone (904) 247 -5826 • Fax (904) 247 -5845
r to E -mail: building- dept @coab.us Date routed: / 1 1/
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �� Department review required q red Yes No
Buildin
Applicant: nning & Zoning j/�� t/
'`-t- Tree �ninistra or
Project: Public Works
Public Utilities
Public Safety
Fire Services
Rai fe $h a Dep S g a r 2Z.. 'b
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Q Approved. ❑Denied. 3� Sa_r-ve
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: Date:
TREE ADMIN.
Second Review: QApproved as revised. ❑ Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: EApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
R BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 4 Lo) V
Permit
Number: `/ /6 5 y
Legal Description
4 0 . J ► Floor Area of Sq.Ft. Parcel # Sq.Ft
Valuation of Wor ', /,.; i e Proposed Work heated /cooled
n heated /cooled o`1t9
Class of Work (circle one): Yalew Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): -� f)
If an existing structure, is a fire sprinkler system installed? (Circle one): Rest d sntial No N /A
Florida Product Approval #
For multiple products use product approval form bifi A
Describe in detail the type of work to be performed: - Ya F)4 1/7/i1201
Property Owner Information: ?
FE . 9 ii is.
Name: Address: L 4 . -+
City State Zi r �.
E -Mail or Fax # (Optional) p Phone ',,a
Contractor Information:
Company Name: Lam'''er Deire.to Q ri..„ -F L Lard t�(A rC IV C leo 01
Address: 9 3 Q p 1 - 1 t Qualifying Agent:
City � - State _ Zip
Dffice Phone go
�` �'S - e 7 S J o b 2.2_ fl 3S State Certification/Re 1 - --
gistration # C. C ' '
Architect Name & Phone # ` 4 ' • • • •• Engineer's Name & Phone # � �� r r L y.1i Y 1 Y (� ; N rs� � s�; 1
Fee Simple Title Holder Name and Address '4 FOR ADDITIONAL
3onding Company Name and Address 1 : 1• ,l:•Z+r��a►vw�1►IIIK•7 ►1 i1$Y(I ) � `� i all N � , e
�
Vlortgage Lender Name and Address I ` �� . ,
ummimiiiii
1pplication is hereby made to obtain a permit to do the wor an.:ns a a o At .' _.,
-_._
ssuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes the
znd void f work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora eriod of six (6) months at any time after
vork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, W ells, Pools, F urnaces, Bo Heaters,
ranks and Air Conditioners, etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
hereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this
ype of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
rovisions of any other federal, state, or local law f - gulating construction or the performance of construction. the
li : 1 r0 of Oer / < Siature of Contractor
riot Name i
Print Name .O(P.r1 J C L eaG1
wo o and _ .. scri. - . i' ore me Swo to and subsc ibe. before me
his % ay • . h r zvi.�: = i►r ww:. - , w.. - _ F 0
, . ; „ , � , this Day of e,.
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